Wiki peripheral angiogram and stent order of coding and modifiers

[lcaskew1]

I am coding a bilateral lower extremity angiography with distal vessel runoff, and stent placement in the mid left superficial femoral artery and mid left common iliac artery segments. The doctor thinks the following codes should be reported but I am not sure if some are inclusive of others and I don't know what order they should be listed and which ones require modifiers. Should I be using modifier 59 anywhere?
37221
37227
36247
75716-26

 

[Jim Pawloski]

I am coding a bilateral lower extremity angiography with distal vessel runoff, and stent placement in the mid left superficial femoral artery and mid left common iliac artery segments. The doctor thinks the following codes should be reported but I am not sure if some are inclusive of others and I don't know what order they should be listed and which ones require modifiers. Should I be using modifier 59 anywhere?
37221
37227
36247
75716-26

You need mod -59 on 75716, LT on 37221 & 37227, and remove 36247 as it is bundled into the intervention.

Have A Happy New Year,
Jim Pawloski, CIRCC

 

[lcaskew1]

Thank you Jim. Happy New Year to you also.
Lynette

 

[lcaskew1]

Was I correct to use modifier 26 with 75716? If so, do I report as 75716-26-59?

 

[Jess1125]

Was I correct to use modifier 26 with 75716? If so, do I report as 75716-26-59?

Yes, both the -26 and -59 for the 75716!

Jessica CPC, CCC